Organization
PIERE JACOB MONTROSE M D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIERRE JACOB MONTROSE MD (OWNER)
(772) 871-7800
Entity
Organization
Contact information
Practice address
5762 OKEECHOBEE BLVD, SUITE 607, WEST PALM BEACH, FL 33417-4343
(772) 871-7800
(772) 871-7822
Mailing address
PO BOX 12717, FORT PIERCE, FL 34979-2717
(772) 871-7800
(772) 871-7822
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME69838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254720100
—
FL
Enumeration date
10/21/2010
Last updated
10/21/2010
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